| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $111.86 | $126.30 | $126.30 | |
Cigna
| Professional | $65.67 | $65.67 | $82.08 | |
Medcost
| Facility | $28.70 | $37.18 | $69.03 | |
Medcost
| Professional | $67.59 | $67.59 | $67.59 | |
Wellcare
| Facility | $99.11 | $199.32 | $199.32 |